Evidence map›Paper›PMID 29684327›Full record

ArticleContraception2018

Do health promotion messages integrate unintended pregnancy and STI prevention? A content analysis of online information for adolescents and young adults.

Riley J Steiner, Catherine N Rasberry, Jessica M Sales, Laura M Gaydos, Karen Pazol, Michael R Kramer, Andrea Swartzendruber

Abstract read
In one paragraph

Article in Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  7. "Is It Really Confidential?" A Content Analysis of Online Information About Sexual and Reproductive Health Services for Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Riley J SteinerCenters for Disease Control and Prevention, Division of Adolescent and School Health, 1600 Clifton Road NE, Mailstop E-75, Atlanta, GA 30329, USA; Emory University Rollins School of Public Health, Department of Behavioral Sciences and Health Education, 1518 Clifton Road NE, Atlanta, GA 30322, USA. Electronic address: rsteiner@cdc.gov.
Catherine N RasberryCenters for Disease Control and Prevention, Division of Adolescent and School Health, 1600 Clifton Road NE, Mailstop E-75, Atlanta, GA 30329, USA.
Jessica M SalesEmory University Rollins School of Public Health, Department of Behavioral Sciences and Health Education, 1518 Clifton Road NE, Atlanta, GA 30322, USA.
Laura M GaydosEmory University Rollins School of Public Health, Department of Health Policy and Management, 1518 Clifton Road NE, Atlanta, GA 30322, USA.
Karen PazolCenters for Disease Control and Prevention, Division of Reproductive Health, 4770 Buford Highway, Mailstop F-74, Atlanta, GA 30341, USA.
Michael R KramerEmory University Rollins School of Public Health, Department of Epidemiology, 1518 Clifton Road NE, Atlanta, GA 30322, USA.
Andrea SwartzendruberUniversity of Georgia College of Public Health, Department of Epidemiology and Biostatistics, 101 Buck Road, Athens, GA 30602, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveRecently there have been calls to strengthen integration of unintended pregnancy and sexually transmitted infection (STI) prevention messages, spurred by increasing use of long-acting reversible contraception. To assess the extent to which public health/clinical messages about unintended pregnancy prevention also address STI prevention, we conducted a content analysis of web-based health promotion information for young people. STUDY

designWebsites identified through a systematic Google search were eligible for inclusion if they were operated by a United States-based organization with a mission related to public health/clinical services and the URL included: 1) original content; 2) about sexual and reproductive health; 3) explicitly for adolescents and/or young adults. Using defined protocols, URLs were screened and content was selected and analyzed thematically.

resultsMany of the 32 eligible websites presented information about pregnancy and STI prevention separately. Concurrent discussion of the two topics was often limited to statements about (1) strategies that can prevent both outcomes (abstinence, condoms only, condoms plus moderately or highly effective contraceptive methods) and (2) contraceptive methods that confer no STI protection. We also identified framing of condom use with moderately or highly effective contraceptive methods for back-up pregnancy prevention but not STI prevention. STI prevention methods in addition to condoms, such as STI/HIV testing, vaccination, or pre-exposure or post-exposure prophylaxis, were typically not addressed with pregnancy prevention information.

conclusionsThere may be missed opportunities for promoting STI prevention online in the context of increasing awareness of and access to a full range of contraceptive methods. IMPLICATIONS: Strengthening messages that integrate pregnancy and STI prevention may include: describing STI prevention strategies when noting that birth control methods do not prevent STIs; promoting a full complement of STI prevention strategies; and always connecting condom use to STI prevention, even when promoting condoms for back-up contraception.

Indexed as

AdolescentsCondomsHealth promotionPregnancy preventionSTI prevention

Identifiers

PMID29684327
PMCPMC9125411

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.